Boutros C, Somasundar P, Joseph EN

Language: Spanish
References: 15
Page: 82-88
PDF size: 150.82 Kb.

ABSTRACT

Introduction: Incisional hernia continues to be a common occurrence subsequent to major abdominal operations. The increasing use of laparoscopic techniques for an expanding array of abdominal operations may decrease the incidence of incisional hernias in the future; however at present, incisional ventral hernia repairs constitute a significant portion of the general surgical case-load. Traditional approaches to the repair of abdominal wall defects has centered primarily on the use of native host tissues (primary repair) or synthetic mesh material. For the vast majority of patients these approaches are sufficient to achieve the goal of repair. However, in some yet undefined subset(s) of patients, as has been demonstrated by clinical trials; primary repair without mesh leads to a high rate of recurrence and incisional hernia repairs employing synthetic mesh have a potential infection rate in the range of 10-30% in selected cohorts. It is for these groups of patients, in whom the operative field is contaminated or where synthetic mesh has become infected for whom biomaterial mesh repairs are indicated. It is the aim of the present work to describe the origins of biomaterial repairs and present the various materials available for these repairs.

REFERENCES

1. Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, IJzermans JN, Boelhouwer RU. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 2000; 343(6): 392-8.

2. Fabian TC, Croce MA, Pritchard FE, Minard G, Hickerson WL, Howell RL, Schurr MJ. Planned ventral hernia. Staged management for acute abdominal wall defects. Ann Surg 1994; 219(6): 643-50.

3. Jarman-Smith ML, Bodamyali T, Stevens C et al. Porcine collagen crosslinking, degradation and its capability for fibroblast adhesion and proliferation. J Mater Sci Mater Med 2004; 15(8): 925-932.

4. May JW Jr, Silverman RP, Kaufman JA. Flap perfusion mapping: TRAM flap after abdominal suction-assisted lipectomy. Plast Reconstr Surg 1999; 104(7): 2278-81.

5. Ramirez OM, Ko MJ, Dellon AL. «Components separation» method for closure of abdominal wall defects: an anatomic and clinical study. Plast Reconstr Surg 1990; 86: 519–526.

6. Guy JS, Miller R et al. Early one-stage closure in patients with abdominal compartment syndrome: fascial replacement with human acellular dermis and bipedicle flaps. American Surgeon 2003; 69(12): 1025-8.

7. Buinewicz B, Rosen B. Acellular cadaveric dermis (AlloDerm): a new alternative for abdominal hernia repair. Ann Plast Surg 2004; 52(2): 188-94.

8. Butler CE, Langstein HN, Kronowitz SJ. Pelvic, abdominal and chest wall reconstruction with alloderm in patients at increased risk for mesh-related complications. Plast Reconstr Surg 116(5): 1263-1275.

9. Franklin ME, González JJ, Michaelson RP, Glass JL, Chock DA. Preliminary experience with new bioactive prosthetic material for repair of hernias in infected fields. Hernia 2002; 6: 171-4.

10. Franklin ME, González JJ, Glass JL. Use of porcine small intestine submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2 year follow-up. Hernia 2004; 8: 186-9.

11. Ueno T, Pickett LC, de la Fuente SG. Clinical application of porcine small intestinal submucosa in the management of infected or potentially contaminated abdominal defects. Journal of Gastrointestinal Surgery 2004; 8: 109-112.

12. Helton WS, Fisichella PM, Berger R, Horgan S, Espat N, Abcarian H. Short-term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg 2005; 140: 549-562.

13. Milburn ML, Shah PK, Friedman EB, Roth JS, Bochicchio GV, Gorbaty B, Silverman RP. Laparoscopically assisted components separation technique for ventral incisional hernia repair. Hernia 2007; 11(2): 157-61.

14. Gupta A, Zahriya K, Mullens PL, Salmassi S, Keshishian A. Ventral herniorrhaphy: experience with two different biosynthetic mesh materials, Surgisis and Alloderm. Hernia 2006; 10(5): 419-25.

15. Jin J, Rosen MJ et al. Use of acellular dermal matrix for complicated ventral hernia repair: does technique affect outcomes? Journal of the American College of Surgeons 2007; 205(5): 654-60.